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Bibliographic Details
Main Author:	Carlos Alberto Blanco Córdova
Format:	Artículo científico
Language:	es
Published:	Universidad de Ciencias Médicas de Cienfuegos 2018
Subjects:	Medicina lepra lepromatosa informes de casos
Online Access:	https://www.redalyc.org/articulo.oa?id=180061635015 https://www.redalyc.org/journal/1800/180061635015/ https://www.redalyc.org/journal/1800/180061635015/html/ https://www.redalyc.org/journal/1800/180061635015/180061635015.epub https://www.redalyc.org/journal/1800/180061635015/movil
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Lepra lepromatosa. Presentación de un caso Carlos Alberto Blanco Córdova Mailin Claxton Louit Medicina lepra lepromatosa informes de casos La lepra, es una enfermedad infectocontagiosa de evolución crónica, producida por el Micobacterium Lepraeque afecta piel y nervios periféricos. En su forma más grave también daña los órganos internos. Tan antigua como el mismo hombre, los enfermos que la padecen continúan marginados y estigmatizados como ocurría miles de años atrás.La Organización Mundial de la Salud (OMS) ha desarrollado un programa orientado a prevenir, diagnosticar oportunamente y tratarla de forma adecuada. En muchas ocasiones, los pacientes con lepra son diagnosticados en la atención secundaria, acompañados de discapacidades irreversibles por los diagnósticos tardíos. Por esta razón creemos oportuno presentar un caso clínico de lepra lepromatosa, diagnosticado en el área de salud (atención primaria) y en etapa temprana de la enfermedad, lo que interrumpe la cadena epidemiológica y además evita las temibles discapacidades asociadas que los llevan a ser inhabilitados sociales, con todas las afectaciones psicológicas para el paciente y su familia. Es de vital importancia seguir preparando al Equipo Básico de Salud (EBS) y Grupo Básico de Trabajo (GBT) para poder realizar diagnósticos tempranos de lepra en el nivel de atención primaria, como el expuesto en este trabajo, para así poder cumplir con el deber de erradicar la enfermedad en Cuba. 2018 artículo científico 1727-897X https://www.redalyc.org/articulo.oa?id=180061635015 https://www.redalyc.org/journal/1800/180061635015/ https://www.redalyc.org/journal/1800/180061635015/html/ https://www.redalyc.org/journal/1800/180061635015/180061635015.epub https://www.redalyc.org/journal/1800/180061635015/movil es http://www.redalyc.org/revista.oa?id=1800 MediSur application/pdf Universidad de Ciencias Médicas de Cienfuegos MediSur (Cuba) Num.4 Vol.16

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// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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